Ray Neil Labelle, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT1370 Issued in TN

Practice address

106 Indian Hills Circle
Clinton, TN 37716-6562

Phone

(865) 463-8440

Fax

(865) 463-9332

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rlabelle@raylabelle.qrsdm.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ray N Labelle

  • Optometrist
  • Clinton, TN
  • NPI 1164619094
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1487749206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 INDIAN HILLS CIRCLE",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166562",
            "telephone_number": "865-463-8440",
            "fax_number": "865-463-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 INDIAN HILLS CIRCLE",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166562",
            "telephone_number": "865-463-8440",
            "fax_number": "865-463-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABELLE",
        "first_name": "RAY",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleah Knudson
• Mary Kochman, DO
• Freddie N. Kojima, ANP-BC
• Courtney Koontz
• Brenda Charlene Kuziak, CNA
• Brianne Lantz, APRN, FNP-C
• Lisa Marie Lay
• Rachel L Layton
• Sarah Jean Levan, FNP
• Katherine Love-Pride, LMSW

• Optometrist in Clinton, TN
• Providers in Clinton, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.